new_n_lost
Politically InCorrect
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Posts: 6,086
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The Question is Again Clinical Plz Dont Complain that U werent Forewarned
A 68 year old man complained of tiredness and lethargy. On examination there was 2 cm hepatomegaly and 7 cm splenomegaly.
Investigations show:-
Haemoglobin 17.4 g/dL (13.0-18.0)
White cell count 39.4 x 109/L (4-11)
White cell differential:
Neutrophils 22.2 x 109/L (1.5 - 7)
Lymphocytes 1.1 x 109/L (1.5 - 4)
Monocytes 1.0 x 109/L (0 - 0.8)
Eosinophils 0.4 x 109/L (0.04 - 0.4)
Basophils 2.1 x 109/L (0 - 0.1)
Metamyelocytes 1.2 x 109/L
Myelocytes 10.9 x 109/L
Myeloblasts 1.3 x 109/L
Nucleated rbc 3 per 100 rbc
Platelet count 585 x 109/L (150 - 400)
What is the most likely diagnosis?
1) Acute myeloid leukaemia.
2) Chronic myeloid leukaemia.
3) Essential thrombocythaemia.
4) Myelofibrosis.
5) Primary proliferative polycythaemia (rubra vera).
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| mytime
Kick my butt!
Topics: 39
Posts: 3,173
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4.
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| epica
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4
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| new_n_lost
Politically InCorrect
Topics: 653
Posts: 6,086
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___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| mytime
Kick my butt!
Topics: 39
Posts: 3,173
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I JUMPED MOST LABS.BUT NOW I THINK..SIMPLE cml.
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| mytime
Kick my butt!
Topics: 39
Posts: 3,173
|
????????????????????????
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| new_n_lost
Politically InCorrect
Topics: 653
Posts: 6,086
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___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| new_n_lost
Politically InCorrect
Topics: 653
Posts: 6,086
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The presentation is typical with vague symptoms of malaise and splenomegaly. The blood film also shows the typical high White Cell Count and there are all stages of myeloid cell maturation present in the peripheral blood. Thrombocythemia is also seen in CML.
___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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